Job Information
Thomas Jefferson University Patient Access Representative (Relief, Days) - Stratford ED in Stratford, New Jersey
Job Summary:
Provides a positive patient experience to patients and families. Demonstrates strong communication and customer service skills while registering patients. Accurately searches and selects the correct patient. Gathers complete and accurate demographic and insurance information from patients and families. Identifies uninsured patients for referral to Medical Assistance/Charity Care evaluation. Retrieves orders, confirms medical necessity and answers phones for outpatient visits. Gathers workerrsquo;s comp or auto insurance information from accident patients, collects patient out-of-pocket liability/copays, verifies insurance, and confirms referrals and authorizations are on file, if required.
Essential Functions:
- Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
- Gathers accurate demographic information to identify Jefferson patients who have an existing medical record number or new Jefferson patients who need a medical record number assigned
- Requests photo ID and insurance cards, scanning copies
- Records complete and accurate demographic and insurance information. Entering orders and confirming medical necessity for outpatient visits, if appropriate. Interviewing patients to accurately complete the Medicare Secondary Payer (MSPQ) questionnaire for all Medicare patients.
- Uses RTE (Real Time Eligibility), Phreesia or payer websites to verify patientsrsquo; insurance coverage and benefits including patientrsquo;s out of pocket liability. Ensures proper referral and authorizations are on file as needed.
- Completes all activities with adherence to departmental and institutional protocols
- Assures regulatory and compliance requirements are met
- Achieves individual and team performance metrics
- Communicates and collects out-of-pocket liability from patients at the time of service
- Rotates assignment to all points of service areas within Patient Access (Outpatient Registration and Emergency Department)
Minimum Education and Experience Requirements:
Education: Required High School Diploma or GED, Associates degree in healthcare or business administration preferred AND Experience:
- Outpatient/Admissions: Minimum 3 years of customer service experience. Previous experience working in insurance, physicians/medical office or hospital registration preferred.
- Emergency Department: Minimum 3 years of experience in hospital, physician practice, or other related healthcare environment customer service required. Prior registration experience in Emergency Dept. preferred.
Competencies (Knowledge, Skills, and Abilities Required):
- Proficient with computer and Microsoft Office skills and familiar with healthcare EHR applications i.e. EPIC, Cerner
- Knowledge of medical terminology, third-party insurance coverage including managed care plans
- Strong verbal and written communication and customer service skills
Covid Vaccination is a requirement for employment at Jefferson for employees working at Jeffersonrsquo;s clinical entities or at the University. If you are not currently vaccinated you will be required to receive the vaccination prior to hire date if you are offered employment, unless you request and receive an approved medical or religious exemption from Jefferson.
About Jefferson
Nationally ranked,Jefferson, which is principally located in the greaterPhiladelphiaregion and southernNew Jersey, is reimagining health care and higher education to create unparalleled value.Jeffersonis more than 42,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow#39;s professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of SidneyKimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top healthcare systems in the country and the largest provider in thePhiladelphiaarea, serves patients through millions of encounters each year at 17 hospitals and more than 160 outpatient and urgent care locations throughout the region. Jefferson Health Plansis a not-for-profit managed health care organization providing a broad range of health coverage options inPennsylvaniaandNew Jerseyfor more than 35 years.
As an employer, the Jefferson Enterprise maintains a commitment to provide equal access to employment. Jefferson values diversity and encourages applications from women, members of minority groups, LGBTQ individuals, disabled individuals, and veterans.